Provider Demographics
NPI:1992928295
Name:ROMERO, SYLVIA A (LPN)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:A
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2382 N CAMINO MATEO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-1343
Mailing Address - Country:US
Mailing Address - Phone:520-624-7171
Mailing Address - Fax:
Practice Address - Street 1:1573 W AJO WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-5738
Practice Address - Country:US
Practice Address - Phone:520-908-4017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP032693164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse